JILL CRALLEY (NPI# 1700075058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700075058 |
| Entity Type | Individual |
| Full Name | JILL CRALLEY |
| Credential | RN, PHN |
| Practice Address |
2115 Centerpointe Pkwy Santa Maria Public Health Clinic Santa Maria CA 93455-1334 |
| Mailing Address |
300 N San Antonio Rd Santa Barbara CA 93110-1316 |
| Practice Telephone | 8053467230 |
| Mailing Telephone | 8056815461 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN# 443334 | CA | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
PHN# 53033 | CA | Nursing Service Providers |
| Street Address |
2115 CENTERPOINTE PKWY SANTA MARIA PUBLIC HEALTH CLINIC |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863065 | David J Lennon | Family Medicine | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2005-12-28 |
| 1548891468 | Ada Grace | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2020-01-29 |
| 1912479486 | Linda Oh | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2018-12-21 |
| 1710421920 | Cheryl Jacobsen | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2016-12-06 |
| 1356708457 | Brittany Helmer | Physician Assistant | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2016-01-20 |
| 1174921076 | Ramona Cabiles | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2014-12-09 |
| 1528466422 | Sally Gyimah | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2014-12-09 |
| 1447689104 | Eva Bryana Avila | Case Manager/Care Coordinator | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2013-11-04 |
| 1760824130 | Amy Marie Benesh | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2013-07-25 |
| 1316217532 | Guadalupe Lopez Valencia | Home Health Aide | 2115 Centerpointe Pkwy, Public Health Department, Santa Maria, CA 93455-1334 | 2012-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174921076 | Ramona Cabiles | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2014-12-09 |
| 1528466422 | Sally Gyimah | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2014-12-09 |
| 1760824130 | Amy Marie Benesh | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2013-07-25 |
| 1306007349 | Grace Van Doren | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2008-06-23 |
| 1982864203 | Iva Larkin | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria, CA 93455-1334 | 2008-06-10 |
| 1275722407 | Anne Hofmann | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria Public Health Clinic, Santa Maria, CA 93455-1334 | 2007-10-24 |
| 1639368988 | Carol Petrini | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria Public Health Clinic, Santa Maria, CA 93455-1334 | 2007-10-22 |
| 1346439692 | Karen White | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria Public Health Clinic, Santa Maria, CA 93455-1334 | 2007-10-22 |
| 1275722522 | Irma Lopez | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria Public Health Clinic, Santa Maria, CA 93455-1334 | 2007-10-22 |
| 1417146762 | Robyn Freeman | Registered Nurse | 2115 Centerpointe Pkwy, Santa Maria Public Health Clinic, Santa Maria, CA 93455-1334 | 2007-10-22 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.